When using Celestoderm®-B cream with Garamycin®, hypersensitivity reactions, rashes and skin pigmentation disorders occur.
The following are possible local reactions due to the use of betamethasone, especially when using occlusive dressings: irritation of the skin (itching, erythema), burning sensation, dry skin, folliculitis, hypertrichosis, steroid acne, hypopigmentation, perioral dermatitis, allergic contact dermatitis, skin maceration, secondary infection, skin atrophy, striae, sweating.
In the treatment of gentamicin there is a transient skin irritation (erythema, pruritus), usually not requiring withdrawal of treatment.
With prolonged treatment or application to a large surface it is possible to develop systemic side effects characteristic of GCS: weight gain, osteoporosis, increased blood pressure, swelling, ulceration of the mucosa gastrointestinal tract, exacerbation of hidden foci of infection, hyperglycemia, agitation, insomnia, menstrual cycle disorders.
In children, Besides, the following side effects can be noted, caused by the use of betamethasone: function suppression hypothalamic-pituitary-adrenal system, Itenko-Cushing syndrome, growth retardation, lag in the increase body weight, increased intracranial pressure. Symptoms of suppression of adrenal cortex function in children include a decrease concentrations cortisol in plasma and lack of response to stimulation adrenocorticotropic hormone (ACTH). Increase in intracranial pressure is manifested by bulging fontanel, headache, bilateral edema of the optic disc.